7 Tax Tips Every Nurse Should Know Before Filing

Nursing is one of the few professions where your job quietly generates deductible expenses all year long — and most nurses never claim them. Whether you're staff, per diem, or travel, a little organization goes a long way.

1. Track your license and certification fees

Your RN license renewal, BLS/ACLS certifications, and specialty credentials (like CCRN or RNC) are often deductible as unreimbursed professional expenses when you're self-employed or filing a 1099. Keep every receipt.

2. Save CEU and education receipts

Continuing education that maintains or improves your nursing skills may qualify. Conferences, online courses, and even some travel to attend them can count — but only with documentation.

3. Don't forget uniforms and equipment

Scrubs, stethoscopes, comfortable work shoes required by your employer, and protective gear can be deductible for self-employed nurses. Everyday clothing you could wear outside work doesn't count.

4. Understand your W-2 vs. 1099 status

Staff nurses on W-2s have fewer deduction options since the 2018 tax law changes, but travel nurses and independent contractors on 1099s can deduct a wide range of business expenses. Knowing which bucket you're in changes everything.

5. Claim your home office (if you qualify)

If you're a 1099 nurse with a dedicated space for charting, scheduling, or admin work, the home office deduction may apply. It must be used regularly and exclusively for work.

6. Contribute to retirement

A traditional IRA or SEP-IRA contribution can lower your taxable income while building your future. Self-employed nurses have especially powerful options here.

7. File on time — or file an extension

An extension gives you more time to file, not more time to pay. If you owe, estimate and pay by the deadline to avoid penalties.

Every nurse's situation is different. A short conversation about your specific year can uncover deductions a generic checklist never would.